Southwest Service Administrators, Inc.

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Sheet Metal Workers Local 49 Family Health Plan

6121 Indian School RD NE, Suite 123,  Albuquerque, NM 87110

888.549.1165

Health Provider Links Other Useful Links
BIN# 610011  PCN# IRX  Group# SMWLOC49
Customer Service: 844-265-1719
Mail Order: 844-265-1719
Specialty Drugs: 855-427-4682
 
 

Click above to find a provider "Provider Finder" or call 1-800-810-2583

ID# S4M - Group# PF2145   

Click here for more information on Blue 365 - A Discount Program

 

MRF Link This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers.

 

Out of Network Providers Must Submit Claims Directly to Southwest Service Administrators -Electronic Payor ID CX100

 

MDLIVE Telemedicine Program

Click above for Website

MDLIVE is a telemedicine program that delivers quality healthcare by using Board‐certified doctors who can diagnose and treat many common minor illnesses. Convenient 24/7/365 nationwide access to Board‐certified doctors from your home, office, or on the road.

MDLIVE can be used for the following: Colds, sore throats, flu, allegories, infections, upset stomach, pink eye, or rashes.
If you are considering the ER or urgent care for a non‐emergency issue; and
for short‐term prescriptions or re‐fills, when appropriate.

For assistance with MDLive registration click link below to watch a short video:

https://www.youtube.com/watch?v=e9tR_pBbRqM&feature=youtu.be

 

American Health Group(AHG)

Click above for website or call 1-800-847-7605

Precertification*AHG  also offers patient advocacy  and  voluntary  case  management  services  that  assist  members  and  families in navigating their way through the healthcare system to make informed medical choices, work effectively  with  providers,  understand  their  benefit  options,  and  become  educated  and  self‐directed  consumers of healthcare.

 
Click above to locate a dental provider, then click on "Find a Dentist"
Group Name - NM Sheet Metal Workers Local 49
 
  • My Dental Benefits site has a cost estimator tool.  Members can quickly view the coverage and estimated costs of dental services for each family member, including deductibles, maximums and more. This will help  budget for their oral health.
  •  Teledentix to offer  members access to a Teledentistry for a virtual oral evaluation. The dentist will be able to assess the members concerns and provide prescriptions for infections or pain, then guide them on next steps.  This is a great feature for dental emergencies, after hours concerns, and members that reside in rural communities.  
  • Find a Dentist flyers are now updated to include a QR code.  This makes it easy for you to go directly to their specific network, eliminating additional steps online.
 

Click above to find a doctor or call (505) 727-2727 or 1-800-727-2701

 

Lookup Claims

Click here to view online claims status for participant claims.

 

Explanation of Benefits

Click here to reprint an explanation of benefits

My Documents

Looking for your documents/forms? Click here.

 

1095B Notices are now available by logging in to your portal account

 

No Surprises Act - Click here for more information on No Surprises Act.

To Access the TrueView Health Care Cost Transparency Tool Click Here.

 

 

 

 

 

Hearing Benefits with TruHearing

TruHearing will supply active employees, retirees and eligible dependents of SMART Local 49 Family Health Plan with access to hearing aids and related professional services at little to no out of pocket cost. Employees, retirees and eligible dependents will have the opportunity to utilize a larger network of providers with this new exclusive vendor. 

Website: www.TruHearing.com/SMART49

If you or your eligible dependent is interested in scheduling an appointment, or if you have questions regarding your hearing benefits contact TruHearing at 833-312-2942.

 

The TruHearing program - what is covered click here

 

SMART 49 and SMACNA of NM are proud to announce the launch of Man Therapy in New Mexico to reshape the conversation surrounding mental health, using humor to cut through stigma and tackle issues like depression, divorce and even suicidal thoughts head on, the way a man would do it.

Be sure to watch the entire intro video below to learn how you can be entered into a drawing to win a $100 Visa gift card.

https://bit.ly/ManTherapyNM

 

Click below for other resources:

https://mantherapy.org/get-involved/1840/mechanical-contractors-association-of-new-mexico

 

Alliance Work Partners - Employee Assistance Program (EAP)

1-800-343-3822

WorkLife Services - Here for you as life happens …
Your EAP regularly helps people much like yourself locate the services they need to help family members and themselves cope with life’s challenges.

 

SafeRide

We all know drinking & driving don’t mix 

Your employer encourages all employees and their family members to act responsibly by not driving under the influence

SafeRide is available to employees and family members for reimbursement up to $50.00 for a cab or rideshare distance of up to 50 miles one-way to the employee or family member’s place of residence, should the employee or family member be impaired and consequently, unable to drive responsibly

 

 

Blue Cross Medicare Advantage Plan

Customer Service Line: 877.299.1008

Pharmacy Help Line: 877-277-7898

Nurse Advise Line: 800.631.7023

Presbyterian Medicare Advantage Plan

Customer Service Line: 800.797.5343

To find a Pharmacy: 800.347.4766

 

 

 

 

SSA Portal Mobile App

Get it on Google Play